Biomedical subjects

R Rudelstorfer

Publications and source records attributed to R Rudelstorfer.

39 records · Page 3Linked to original sources

PubMedDate not supplied

[When in pregnancy should screening for Chlamydia be carried out?].

One goal of every prenatal care should be the diagnosis of a cervical infection with Chlamydia trachomatis and the prevention of its transmission to the neonate. Therefore, we studied the questions (1) at which gestational age a screening would be most meaningful and (2) whether the woman's medical history, a vaginal smear or cervical cerclage suggests any risk of infection. 11 of 121 pregnant women (9.1%) had a positive test for cervical infection with Chlamydia trachomatis at their booking visit. More than half of them had a spontaneous remission at the follow-up visit. Practically, all newborns to infected mothers (at follow-up visits) had a positive test as well. We did not find any relationship between the medical history, vaginal smear or cervical cerclage and the incidence of Chlamydia trachomatis infection. In conclusion, we propose a screening for Chlamydia trachomatis infection of all pregnant women between the 34th and 38th week of gestation and treatment of infected individuals with erythromycin (4 x 500 mg t.i.d.).

Bacteriological Techniques↗

PubMedDate not supplied

[Vaginal sonographic flow measurements in the uterine artery in pregnancy--advantages of the pulsed Doppler method].

Uterine artery velocimetry was performed transvaginally in 42 healthy pregnant women by means of a newly developed "panorama" sector scanner which provides a real time image of the vessel in combination with the recording of a pulsed and gated Doppler signal. Measurements were made on both uterine arteries and averaged. A/B ratios and pulsatility indices declined as pregnancy advanced. A/B ratios I. Trimenon vs. III. Trimenon = 5.44 vs. 2.20, PI = 2.59 vs. 1.32. These changes may be secondary to the conversion of spiral arteries into dilated tortuous vessels by the trophoblast invasion. Flow velocity measurements of the proximal uterine arteries provide a summery of the blood supply to all the arcuate arteries. This method will enhance our understanding of adequate placentation and may provide a new tool in the diagnosis and monitoring of complicated pregnancies.

Arteries↗

PubMedDate not supplied

[Changing risks in uterine rupture].

Between 1975 and 1981 7 cases of rupture of the uterus were observed at this department with an incidence of 1:1200. In all cases therapy consisted of hysterectomy: There was no maternal death, one child died within 24 hours after delivery. Rupture of the uterus remains a serious complication. Careful attention to risk factors, the avoidance of traumatizing obstetric operations and the judicious use of oxytocics should further reduce the incidence of rupture of the uterus.

Adult↗